| NPI | 1679308076 |
|---|---|
| Former Name | ALYSSA KATHRYN VOLMER-JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 11361) |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-09-04 |